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��9� <br />A�1tL <br />>yxN <br />H Z� <br />K c] <br />H� <br />"�tl H'�tl <br />V1 hi <br />Hx <br />[�1 O <br />HC <br />O N <br />��1�8 <br />r' V �] <br />z9y� <br />rHH <br />g �' <br />C] C y <br />��y <br />H O [A <br />� <br />� ' <br />a ` <br />' <br />�w � <br />CITY OF EVERETT <br />-vCONSTRUCTION �� <br />PERMIT PERMITNO. 27414 <br />259-8810 <br />❑ DEMOLITION �FOMBINATION }SH BUILOING ❑ MECHANICAL ❑ PLUMHIaG ❑ SIGN <br />OWNER MAILAppRE55 CIiV 21P P��ONE <br />Dave Heames 3411 Kromer F�ve Bverett 98201 259-2980 <br />TENPNT MRRRDDRE55 CRV 1i� PMON�i <br />,.-� qpCMrt[CTORDES�GNER MAILRODRE55 GRV Dn PHONE <br />OENERALCOHiPACTOR MARRDDAE55 CiTV 21P PMONE LICENSE� <br />Owner <br />MECNANICALCONif1ACi0A h�MLRDOPE55 Cliv ZiP PHON[ UCFNSE� <br />PlUMOiNGCONiRACTOR MPII�DDR[55 QiY ZiP �"�ONE LiCENSE• <br />G WSS Of Y.�NK <br />❑ NEW � ADDITION �I ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON ANO PMJNE Y.0 IF OTHE�V THAN RUOVE <br />CONTRACT PRICE OF WORK' S 4 000 00 I <br />DESCRIDEIVORRANDSOUa�E�00TRGEINVOLVED <br />Renovate BOOsf house - add 2 walls, remodel kitchen & re-roof <br />PpOP05[D USE OF OURDiNG <br />Sin le famil residence <br />LEGAL �ESCPIPtION Of PPOPERiV ISMO\Y OFtOW OR ATT4CM FOM COPIESI <br />m��sia> >fl•fA�M nnno��cn�•? rr.:t <br />LOT_ D�aN � OF <br />�oonooRess <br />PLUMBING <br />[7:1 <br />WATEfl <br />DflINKING FOUNTAIN <br />FIOOR �RAIN <br />BACNFLOW PREVENTEflS <br />ROOF DRAINS - RFINLEADE(75 <br />SINK ISERVICE - BAR, ETC.1 <br />SIZE Of ULDG <br />RERSON <br />nCC OY <br />SUBTOTAL 5 <br />PEPMIT 5 <br />TOTALFEE S <br />REAR SETOnCK 5 <br />IOiTOEA � <br />E S�PINRlERS R[OD <br />vCs ❑ ��0 <br />FEE <br />LiM1Ciai10'� <br />wno�euu� I CITY OF EVERETT <br />LOCALSALES <br />� TAX CODE IS <br />3105 <br />PERMITS EXPIRE IF WORK IS NOT COMM[NCEO WITHIN <br />180 DAYS OR CEASES FOR MORE THAN 100 DAYS. <br />FLDG <br />ai vr. <br />HECH <br />c+ cert <br />MECHANICAL CNECY, <br />JO, TVPE OF EOUIPMENT <br />AlC - 0.NNOLG UNITS - H.P <br />FORCEDAIASYSTEMS-BTU. M <br />I lIN1THEATERS-B.TU. ��� <br />VlATER HEATER <br />Y�OOD STOVE <br />METAL FIREPLACE 8 CHIhINEV <br />FIBEPLACE INSERT <br />GAS PIPING <br />E63.OD <br />SI<^s nn <br />P/, Sfl <br />5107..`,0 <br />FEE <br />i7pL S � <br />5 <br />FEE 5 <br />RECEIPT NO. <br />:OINGCOOE FEE <br />BUILDING S 4 � OOO.00 <br />PLUTABING <br />�dECMANICAL <br />OTHER <br />STATE BUILDING SUFCHARGE <br />STATEENERGVSURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />WHEN PROPERLV VALIDATED THIS IS YOUR <br />HI�I)Rf',S f-�� c <br />� <br />21414 <br />